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RehaCom - Basic manual

1. Licensing mode from version 5 00 makes the change between demo mode and licensed operation possible License enter license codes releasing procedures Backup Restore for data security Volume RehaCom check the volume for a sound version Client font selecting a font for all client texts Start Service start a service routine in arrangement with the RehaCom service e Patients mode RehaCom is switched to patients mode All changes entered are saved 2011 HASOMED GmbH ER RehaCom Basic manual An additional system parameter should be entered via Windows the frequency of the change of pictures which can not be configured in RehaCom If the frequency is too low the client will get tired soon or complain about the flickering of the screen This effect is especially liable in extensive screens The frequency depends on your PC so there is no general description of how to generate it Please consult the manual of your graphic card your computer partner or our technical support The optimal frequency is 70 80 Hz These frequencies are to be generated for DirectDraw modes 640x 480 pixels 256 colours and 640x 480 pixel High Colour 16 bit from version 5 00 RehaCom tries to adjust an optimal flicker frequency around 75 Hz This is however only possible if graphics card and operating system support this option 10 2 Network Directory Pressing Network Directory in the window System parameter or with th
2. adjusting of difficulty 16 analysis 16 analysis of the process data 3 analysis process data 49 Auswertung 55 backup 77 backup restore 57 bandwidth 35 basic manual 16 basic procedures 14 battery 29 31 battery new 31 brain damage 16 break off a procedure 3 break off the training 3 button Cancel 3 button Help 3 button OK 3 C calibration joystick 71 check buttons 71 check panel 71 check volume 78 children s graph of performance 49 choose a procedure 3 choose therapist 18 client 70 client data 21 24 client dsk 58 clientfont 57 clientlist 21 client s details 24 clients Gender 3 client s instruction 3 clients Name 3 client server database 66 clinic network 58 62 codedisk 74 cognitive deficits 16 cognitive skills 16 commission 1 complex procedures 14 computer assisted training 16 computer net 58 computer assisted therapy 1 consumption 74 continue training 36 37 copy database 58 67 course of session 49 course of training 49 crash course RehaCom 3 create new database 66 cumulative time 49 currentclient 11 21 current procedure 11 current therapist 18 cursor buttons 3 D Data security 21 data transfer 35 database 77 database at network 66 database check 66 database copy 67 database directory 58 days of week 40 default parameter 32 define a training unit 29 Defizite 55 2011 HASOMED GmbH delete patient 21 delete training unit 31 demo version 1 13 74 department
3. g Start Server Last change of licensing data 09 11 2011 16 43 00 od 5 Server is running Stop Server proc name is timelic time left license code valid until used by in use until GLOB 35 h 0 min S6 1FCJ 4 CH8 T8BJ QFBJ ATBL 2KK 09 11 2011 free GLOV 50 h 0 min 09 08 2011 free AUFM Oh 0 min 9S 42RH PPAP4 4AR 1A7A C682 CUSR 22 11 2018 free Oh 0 min 9S 42RH PPAP L4AR 1A7A C682 CUSR 22 11 2018 free GEAU Oh 0 min 7U MD50 N8J5 7R7F DQ9W KRWA HWVS 14 12 2011 free Add code Read disk N Schlie en Port address It is set from which port RehaCom clients communicate with the server SOAP via http The setting can be changed after having stopped the server button Stop Server requires registration as administrator The used port must be set to all clients see Network Directories and must be opened in the firewall configurations Firewall Not in all cases port 8080 is opened for http in the Windows firewall If there is no communication between server and client please take the following settings Windows Start button gt System control Click on Windows firewall gt Advanced settings requires administrator rights Click on Incoming rules on the left New rule on the right Rule type select Port gt Next gt Report and ports select TCP enter Specific local ports 8080 gt Next gt Action allow connection gt Next gt Profile set all checkmarks gt Next
4. 2011 HASOMED GmbH RehaCom Basic manual 10 8 10 9 Database directory localhost C REHACOMDB Backup Ziel c 8 m Ki SchlieBen Hilfe Window Backup Restore RehaCom database In the window Backup Restore RehaCom database there are 2 files e Backup for saving the data base and Restore for a possible restoring of a defect data base The Backup copy can be carried out onto a disk e g or a second hard disk Please do not use the hard disk on which the RehaCom data base is situated In case of a disk error a backup will be lost as well With the little explorer button you select a disk or so where you want to save the backup The backup commences with Start For Restore the same way applies Volume RehaCom All RehaCom procedures use an effective feedback sometimes with spoken instructions or typical sounds or signals For that the soundblaster module of the PC is used The volume for the connected client headphones or loudspeakers can be adjusted with the Windows function Volume For that click at the little loudspeaker in the task list at the bottom of the screen A shift regulator appears with which the volume can be adapted In order to check the volume press the button Volume RehaCom The word RehaCom is to be heard This way you can adjust the volume individually Client font For the texts displayed to the client during the training instructions feedback etc ve
5. current procedure If the box isn t checked are only procedures are listed which are used by the current client This setup is useable if the client works independent but a large list of procedures is confusing Prescriptions Internet second database This option can be used if RehaCom is used at a clinic network but one RehaCom workstation is disconnected from network from time to time While disconnection from main database you can only choose patients at client administration More info you will get at chapter network installation 2011 HASOMED GmbH ER RehaCom Basic manual Computer has touchscreen The options makes the adjustment of standard parameters more easy If the computer is equipped with touchscreen and the therapy procedure permits an operation over Touchscreen this option is used as standard parameter 2011 HASOMED GmbH System adjustments et hide Windows at patients mode In patients mode the client is to train independently at the computer Usually he should not to have the possibility of using any other function of the computer In order to prevent that the client uses other Windows functions Windows Hotkeys starting menu installed programs one can fade out the Windows system However this option is no hacker protection Experienced users have always the possibility to use the Windows system activate RehaCom autostart at patient mode In patient mode the c
6. reaction training A RehaCom dongle is now available in addition as USB device RehaCom needs to check if a panel or a dongle is plugged in For that go to the main window and press System and afterwards Panel Dongle RehaCom will then tell you whether it recognized the component Finally the license codes are inserted The procedures can be used only after YOUR RehaCom has been set up with the corresponding codes Otherwise only demo versions appear on the screen To enter your license code press the button System and then License In the window license you insert the enclosed license code s in the lower input field singly and one after the other and finally press the button insert If you made a mistake you will be told so Now you can start working with RehaCom The Crash course RehaCom helps you with your first steps Prescriptions Internet From version 5 3 RehaCom can be used by Internet licensing As therapist or patient you have to be registered at the RehaCom Internet server From this time RehaCom licensed are managed online More information you will find at chapter 2011 HASOMED GmbH Introduction 3 Prescriptions Internet 1 3 Crash course RehaCom Before you can use RehaCom the first time some system adjustments are necessary For that please refer to the section Before the first training One of the most obvious advantages of a system like RehaCom is that by knowing cert
7. Remain time ji valid until GLOB yes 109 hrs 30 min 01 08 2012 GLOV yes 0 hrs 0 min 29 12 2011 Insert the license code kel Insert CodeDisk Request an offer B Consumption 2 Help Ki Close Window License The list says how many global licenses there are or which procedures have licenses New licenses are entered in the lower field and confirmed with Insert If the license code is incorrect you will be told so If it is correct there will be a note in the upper field Alternatively to manually entering the license codes you can order a CodeDisk containing one or several license code s Put the disk in drive A and click at the button CodeDisk All license codes saved on the disk are entered automatically Dongle at network For licensing of RehaCom procedures a Dongle similar to an USB Stick at network can be used see chapter Network Directory If you use a Dongle at network only a usage as a global license is possible If you want to use licenses for single procedures you have to connect the Dongle at the workstation of the user Licenses you can order at 2011 HASOMED GmbH RehaCom Basic manual HASOMED hard and software for medicine Paul Ecke Str 1 D 39114 Magdeburg Germany Tel 49 0 391 6230112 Fax 49 0 391 6230113 e mail info rehacom com http www rehacom com Information on further RehaCom resellers you will get at Internet www
8. Theraphieverfahren Aufmerksamkeit und Konzentration AUFM NUQU Visuelle Exploration Daueraufmerksamkeit Testi Datum 01 11 2012 Zeit 11 33 52 Z Wert 1 08 Bewertung auff llig Test 2 Datum 16 11 2012 Zeit 11 52 42 Z Wert 0 98 Bewertung unauff llig NUQU Visuelle Exploration Neglect Gesichtsfeldausfall Testi Datum 01 11 2012 Zeit 11 33 52 Z Wert 1 76 Bewertung auff llig Ausfall links Test 2 Datum 16 11 2012 Zeit 11 52 42 Z Wert 0 47 Bewertung unauff llig Konfiguration GEAT Geteilte Aufmerksamkeit Aufmerksamkeitsteilung 2 3 Hilfe Test 1 Datum 0111 2012 Zeit 11 37 43 Z Wert 341 Bewertung stark auff llig Test2 Datum 16 11 2012 Zeit 12 00 15 Z Wert 1 38 Bewertung auff llig SchlieBen Empfohlen wird die Arbeit mit dem Theraphieverfahren Geteilte Aufmerksamkeit GEAU ud Picture Representation of the screening results The screen is split into two ranges In the upper region is a graphical representation of the screening results In the lower section the results are evaluated verbally Graphical representation Each screening test has at least one often more results example test Visual Exploration has 3 results 3 bars below each other Further information on the results of each test can be found in the respective test manuals Every result is evaluated separately that is how you see a colored bar for each result In the bars you can see circles with
9. a Day Visuo Motor Coordination Ki Two dimensional Operations amp Spatial Operations Main window RehaCom In order to work with RehaCom the following steps are always essential enter a client into the RehaCom data base e choose a procedure for a client carry out the procedure and e analyse the process data 2011 HASOMED GmbH Introduction 5 In order to enter a client into the data base press the button Clients The window Clients opens up Discharged clients Data security E Window Clients In order to enter a client newly press New The window Client data appears 2011 HASOMED GmbH 6 RehaCom Basic manual Window Client dea 4L 0i Enter at least the client s Name First Name Date of Birth and the client s Gender and press OK Now the main window shows up with the new client you just entered in the field Current client 2011 HASOMED GmbH Introduction Now you choose a procedure for the client by pressing Procedure The window Procedures opens up r Training Module a Training Module Attention and Concentration Training Module Divided Attention Training Module Vigilance Parameter Training Module Topological Memory Training Module Physiognomic Memory Delete Training Module Shopping Training Module Memory for Words Training Module Acoustic Respo
10. be used for a spoken instruction through the therapist In many procedures the client is instructed via learning by doing The instruction can be started any time in the therapist menu see bottom with the button Start with instruction Then the first training task starts Some keys of the RehaCom panel have the same function in any procedure panel OK button going over to the next instruction or often for confirming of an 2011 HASOMED GmbH Introduction 9 input yellow plus button the last instruction is repeated orally cursor buttons or joystick moving the cursor in the procedure In order to interrupt the session there are two possibilities The client presses the red button on the panel He can have a break then continue the training or go through the instructions once more The therapist interrupts the training with Esc on the PC keyboard All process data of the started task are lost then The therapist menu appears Therapist menu In the upper part of the therapist menu Set and Current length of session tell about the training time gone by so far The Current level of difficulty is displayed and can be changed Pressing Start without instruction starts the current procedure anew Process data acquired so far will be lost Start with instruction includes the instruction phase as described above By pressing Continue the session is continued with the next task With the button Parameter
11. digits e g OQ Each digit represents one test time in which 1 is the first test time 2011 HASOMED GmbH RehaCom Basic manual The further the digit is on the left the worse the performance of the patient at this time Each color of the bar represents the amount of deviation from the average of the norm Very conspicuous deviation from the norm Distance from the average greater than 2 standard deviations Result is conspicuous but not pathological Distance from the average greater than 1 standard deviation Result in the normal range Distance from the average smaller than 1 standard deviation or better mean value standard deviation density function Picture normal distribution Gaussian curve All tests were standardized with at least 200 healthy test persons of all age groups While determining the norm range the age and the gender of the patient are taken into account 2011 HASOMED GmbH Analysis of process data 55 Verbal assessment Below the graphic is a verbal assessment of the screening results Besides specifications of the test time you find the Z value see Graphic Gaussian curve and a verbal assessment e g conspicuous Is the result of the test not inconspicuous a recommendation will show in the last line It is noted which RehaCom therapy module can be used for the training of the impaired function Details Besides the rough assessments of the test resul
12. is displayed at Windows network neighbourhood or IP address of the server Database directory at server Directory at the server where the database is located You have to enter the local directory name from the servers point of view This directory has to be created by the system administrator It don t have to be released to other users Access is organized by the installed Firebird server program client server principle You can check the database by pressing the button Test at the window Messages all results of the check are listed If the database works proper the last line displays the message Database OK There are a lot error sources at network If you get error messages all possible errors have a detailed description Because the error messages are very specific please ask a computer specialist in case of problems create new database By pressing the button Create a new empty database is created A new database can only be created at a location where no existing database is found If you want to overwrite an existing database the old database files has to be deleted by hand all files with extension gdb at database directory Database copy from version 5 00 A RehaCom database can be copied by use of the program CopyDB exe This program you can run direct from the RehaCom directory It will be started automatically at the first start of RehaCom if RehaCom detects that an existing database has to be converted Y
13. mode em RehaCom licensing Trial version no licenses e With the trial version you can make yourself familiar with all RehaCom modules However you can only test a few levels of difficulty per module amp n adaptive training is not possible i Licensing via patient s panel or dongle Training with patient s panel or dongle is the preferred training method both in therapy H clinics and in neuro psychological practices Patients with severe cognitive impairments are requested to use the RehaCom panel d Licensing via licensing server Licensing of the RehaCom modules is done by a licensing server in the facility Licences are administered centrally A licencing module must be installed on a central server You must ask your administrator for server name and port number Server name 132 168 1176 Port i A Licensing over internet Training via internet is the preferred method for the home training amp special patient s panel is not necessary The training modules are licensed via internet Close Help 2 Trial version You can also use all RehaCom functionality at demo version patients administration selection and adjusting of therapy procedures run the training locking at results The only restriction The adaptivety of the therapy procedures important to training is switched off Most training procedures run only in the lowest and in the highest degree of difficulty with a patients
14. report can be printed out as proof of treatment for the insurance company etc containing and summing up the training ab Ver 6 2 Zur Einschatzung der kognitiven Leistungen des Trainierenden und zur Verbesserung der Kontrolle des Therapieerfolges wurden eine Option zum Screening kognitiver Leistungen integriert Die in RehaCom integrierten Screening Module finden Sie in Hauptfenster auf der Karteikarte Screening Nahere Informationen erhalten Sie im Kapitel Screening und Diagnostik 2 6 Training strategies The overall aim of cognitive rehabilitation is to reduce the impairment caused by the brain damage Training aim is for the client to achieve as much independence as possible through as much of his own means as possible The main criteria of success is the client s subjective opinion about the change of his quality of life When selecting a therapy method aspects of motivation understanding of the disease ability to abstract and anticipate sequences of actions or the extent of their impairment have to be considered Precondition for an optimal 2011 HASOMED GmbH Theoretical basis individualisation of the treatment are a detailed neuro psychological diagnosis of the separate cognitive functions and a detailed planning of the overall treatment concept based on that diagnosis The major possibilities of computer assisted neuro psychological therapy are this maximum individualisation and intensivation of cognitive
15. system Login of client The client has two possebilities to login to the RehaCom system 1 If a smart card reader is present and if the client possesses a smart card the client inserts the smart card into the reader After reading the card the client is logged in both German health insurance company smart cards and a special RehaCom smart cards can be used for the registration 2011 HASOMED GmbH ER RehaCom Basic manual 2 The client announces itself with name and password at the system name and password for the client are specified in the window edit client Is a supervised training configured at the system menu User mode the computer automatically loads actual prescriptions if Internet data transfer is adjusted the data are loaded from RehaCom webserver if data transfer by file export is adjusted the data are loaded from data drive e g USB stick After login appears the window Therapy prescriptions Fehler Ver 6 nl DIC NM SE Attention and Concentration for 5 min E Topological Memory for 5 min Vigilance for 20 min Start training Training module licence via panel or dongle Window Therapy prescriptions The client Igor Zara has finished two prescriptions gray One prescription black is still to be done Do the training At window Therapy prescriptions is shown which procedures the patient has to do today He can choose freel
16. to the first client whose name starts with this letter clicking at the upper menu list Client select clicking at the big button Clients Clients 2011 HASOMED GmbH 22 RehaCom Basic manual When using the upper menu or the big button Clients the window Clients opens up Sort by Mew Name Date of birth Discharged clients Edit Data security Only own patients Delete Last Name FirstName Dateofbirth Admission Clausen Tomas 21 01 1952 07 03 2004 InterNet Schmidt Luise 04 04 1956 07 03 2006 QHeyroth Ingo 06 04 1990 06 10 2008 Addmission Window Clients A list of all clients contained in the data base is displayed To select a client for the next procedure or the process data analysis double click at the client or mark the name with the mouse and press the button Select The client list can be sorted by Name Date of birth or date of Admission A search function is implemented Inserting a letter in the field Search the list displays all clients whose surname starts with that letter If the option Discharged clients is switched off only the currently treated clients are displayed in the list If you switch it on e g with the mouse discharged clients will be marked and current clients Is the option Data security switched on the surnames of patients are only shown with two letters A choose of patients is possible w
17. version you can change between demo version and full version every time you want In this case you have to use the menu System gt License mode Users that have tested RehaCom at demo version bought a panel or dongle and want to switch to licensed mode have to use this menu too to switch to panel dongle or Internet one time 2011 HASOMED GmbH mn RehaCom Basic manual 2 2 Theoretical basis Computer assisted rehabilitation RehaCom is a system by the therapist for the therapist With the training procedures of the system RehaCom an improvement of psychological capacities in people with impaired cognitive performances is achieved These impairments might be caused by different athiopathogenesis RehaCom is not only a product but an overall concept based on 5 principles e modular structure of the modules from training basic functions up to complex demands optimal interaction therapist client computer as fundamental element adaptation of training difficulty to the performance capacities of the client effective feedback for best possible motivation of the client and effective process data measuring for finding deficits and performance reserves Modular structure RehaCom has a modular structure At the moment procedures are available to train the following cognitive skills Attention concentration and vigilance Memory and learning ability Visuo motor co ordination Reaction time and precision Visuo c
18. 20 destination directory 67 Diagnose 55 diagnosis 16 Diagnostik 55 difficulty 16 directory 62 discharged clients 21 disturbance specific training 16 documentation 16 dongle 1 58 71 73 DSL 35 E edit Battery 31 edit client data 21 edit therapist 20 edit training unit 31 effective time 49 Empfehlungen 55 enter aclient 3 enter database 58 enter directory 58 enter license code 74 enter training unit 31 Ergebnisse 52 error analysis 79 error graphic card 79 error sound module 79 export 21 e Ee feedback 15 16 40 file Address 24 file export 44 file Payment 24 file procedures 24 find dongle 71 find panel 71 finding deficits 49 finding performance reserves 49 finish RehaCom 11 Firebird 66 Firebird server 67 firewall 35 62 first day of therapy 24 first name 20 flicker 35 57 floppy disk 58 font at the training 78 font for instructions 78 foot switches 1 from version 5 00 1 11 13 35 39 57 58 62 66 67 74 from version 5 4 18 20 39 57 70 G E global licenses 74 graph of performance 3 36 49 G tekriterien 55 e H HASOMED GmbH 74 hometraining 70 HTTP 35 imparting strategies 16 import 18 21 import data 58 inactivate patient 21 individualisation 16 insert 1 installation network 62 instructions 40 44 insurance company 24 insurance number 24 internet 18 29 32 35 40 73 74 internet support 18 44 interrupt the session 3 interrupt the training 3 36 37 IS
19. DN 35 2011 HASOMED GmbH ER RehaCom Basic manual J joystick 3 joystick calibration 71 K keyboard 15 L language 11 24 58 last day of therapy 24 Leistung 55 length of session 49 level of difficulty 49 license codes 1 13 license mode 73 74 license number 71 license procedures 74 licenses 21 licenses global 58 74 licensing mode 57 limited access 44 list of all client 21 list of therapists 18 load from internet 21 local area network 35 40 local database 66 login 44 M main window 3 11 manual procedures 16 menu list 11 message 44 modem 35 modified procedures batteries 11 modify a training unit 29 modify battery 29 31 modular structure 14 motivation 15 N name 20 network installation 58 62 network directory 57 network dongle 58 neuropsychology 16 new battery 29 new procedures 14 new training unit 31 number breaks 49 number interruptions 49 number of session 49 O observed training 35 40 order licenses 74 p panel 1 15 73 panel OK button 3 paneltest 71 panel dongle 57 parameter 49 parameter adaptation 16 parameter menu 15 31 32 parameter standard settings 32 parameters 40 password 18 patients mode 29 32 44 58 70 payment 24 port 3050 62 prescriptions 40 44 70 print graphic 49 printresults 49 print session 49 Probanden 55 procedure 24 29 31 procedure list 29 procedures available 39 Procedures non stop 36 procedu
20. H v Level File Results The upper graphic Course of training shows the level of difficulty reached at the end of each session The table next to it provides details about the session 2011 HASOMED GmbH Analysis of process data 51 selected and marked with the red bar Name and first name of the client e date and time at the start of the session the length of session the overall time between start and the appearing of the graph of performance the total effective time is the time when the client actually trained overall length of session minus time for instructions breaks etc and the cumulative time is the sum of the total effective times of all sessions so far To select a session click at the bar with the mouse The lower graphic Course of session provides details about the course of every single task of a session The table next to it gives details about the task selected and marked with the red bar A task is selected by clicking at the bar The table tells you the level of difficulty of this task the effective time taken to solve the task the number of breaks interruptions by the patient through pressing the red minus button on the RehaCom panel The effective time includes the overall length of a task instructio
21. HASOMED RehaCom Cognitive therapy and brain training EE M A M M M AY A Ge DRN amp amp 3 RehaCom Basic manual HASOMED RehaCom Cognitive therapy and brain training by Hasomed GmbH This manual contains information about using the RehaCom therapy system Our therapy system RehaCom delivers tested methodologies and procedures to train brain performance RehaCom helps patients after stroke or brain trauma with the improvement on such important abilities like memory attention concentration planning etc Since 1986 we develop the therapy system progressive It is our aim to give you a tool which supports your work by technical competence and simple handling to support you at clinic and practice HASOMED GmbH Paul Ecke Str 1 D 39114 Magdeburg Tel 49 391 6107650 www rehacom com Inhalt Inhaltsverzeichnis Teil I Introduction 1 1 System REN ACCOM icsccssssecsscs sscccesssscssosssccccacbdocssosdcacscecbdocssesssscccesbdecssesdsecssasbdeossesesoascasec 1 2 Before the first tralninig iecescsscscdsvcssccscncesccctessssesonsosccsscvessecensnscseceosdsesensnscecesonsevecnssncess 1 3 Crash course RehaCom essssssssessssssnnsnunnnssnnssnnsnsssnnnnssnsnnnsnsnsnnnnnsnsenssnsnsssnnnsnsnnnsnssnnnne 3 4A Main WING OW qe 0uso 11 5 Demo version Leere eee eee ee eee eee eene eee eee e eee eee ee
22. N Window Graph of Performance for the client Then the training is finished Crash course RehaCom only provides a short overview about how to use the 2011 HASOMED GmbH Introduction 11 1 4 system More specific information can be found in the following chapters Main window Starting RehaCom the main window appears J RehaCom b Therapist Client Procedure Parameter Start Results System Close Help HASOMED R e h a C O l I Cognitive Therapy and Brain Performance Training c 1 992 2012 all rights reserved Sample Michael M E Heyroth Ingo 06 04 1990 Training Screening Group 43 The dient s Training Modules A Traning Modes Attention Se Memory Attention and Concentration Divided Attention ez Vigiance Topological Memory Executive functions 7 Visual eid NJ Visuo motor abiities ka Vocational Rehabilitation Physiognomic Memory e R Shopping Memory for Words EA Acoustic Responsiveness Figural Memory Verbal Memory n Visuo Constructional Ability Modified Training Modules Batteries Reaction Behaviour Plan a Day E Visuo Motor Coordination Dei Two dimensional Operations e c Spatial Operations m new entry and change therapist s data Main window RehaCom This is the centre from which RehaCom is operated There are different possibi
23. The screening is characterized by a lower depth of analysis e Screenings provide a rough overview 2011 HASOMED GmbH ER RehaCom Basic manual e Screening process methods are often only slightly sensitive or only in one direction Status diagnostics and Process Control Screening The main concern of the status diagnostics is to make statements about an actual state In contrast the process control screening aims at the determining of changes The decisions are not made on the basis of a selective diagnostic result At various times during the course of rehabilitation the changes can be measured and documented Quality criteria In general it is possible to differentiate between main quality criteria and associated quality criteria of a test module The main quality criteria are subdivided into the objectivity the reliability and the validity The objectivity denotes the extend in which a test result in implementation analysis and interpretation can not be influenced by the investigator The test result is independent from investigator and evaluator The reliability indicates the degree of reliability or the accuracy of a measurement method A test is described as reliable if the same results get out after a repetition of the measurement on the same conditions and the same objects The validity indicates the degree of accuracy with which the test methods measures what is purport to measure Application in RehaC
24. aCom is ready to work immediately 2011 HASOMED GmbH System adjustments ER However there are two situations when you better move the data base working in a net on one server and working with a client disk If there is only one work place the data base on the local hard disk of the RehaCom PC should be used All client data are operated in a database on the RehaCom PC If there are several workplaces and a computer network the database should be set up on the network server see also Network installation The data of all clients working at the different work places are saved in this database As database directory the directory DB with the RehaCom database must be set For that use the explorer button L The RehaCom windows usually have a background fading from yellow to green In some graphic cards though it turns to unsightly patterns In this case the RehaCom background colour can be switched off grey window background from version 5 00 From version 5 00 you don t have the possibility to save data on floppy disk anymore There are too much data to store it on a disk Use the button copy database to import data from an older RehaCom version or to move a local database into a network database Please read chapter database and network installation The checkbox show all procedures is be used to configure the mainwindow If the box is checked are all procedures are listed at the mainwindow range
25. ain identical keys the therapist is really quickly able to manage the system Ina few steps these keys are explained now Those keys always have the same function closes the window taking over everything inserted closes the window ignoring changes Alternatively Esc can be HE opens up a help window giving information about content and function of the current window Alternatively F1 or the question mark in the up right corner of any window can be pressed 2011 HASOMED GmbH 4 RehaCom Basic manual After starting RehaCom this main window appears L Rehacom 000 Om HASOMED Therapist Client Procedure Parameter Start Results System Close Help R e h a C O I Cognitive Therapy and Brain Performance Training c 1992 2012 all rights reserved Bd Therapists Clients B Procedure Parameter 2 Results new entry and change therapist s data Sample Michael Heyroth Ingo 06 04 1990 i Training Screening Group ME The dert s Training Modules EN Attention Memory Executive functions Visual field Visuo motor abilities Vocational Rehabitation Modified Training Modules Batteries H Divided Attention K Vigilance Topological Memory Physiognomic Memory Shopping Memory for Words Acoustic Responsiveness Figural Memory Verbal Memory e a Visuo Constructional Ability e E 5 Reaction Behaviour Plan
26. battery 29 training parameters 3 31 32 training process 49 training start 3 training strategy 49 training unit 31 translation 11 trial version 73 U USB link 1 USB stick 44 70 user mode 13 57 70 username internet 18 2011 HASOMED GmbH a RehaCom Basic manual Validit t 55 Verlaufskontrolle 55 volume 78 volume RehaCom 57 W webserver 58 workplace illumination 35 workplace RehaCom 35 58 workstation 58 62 write card 24 www hirntrainer com 58 Y yellow plus button 3 2011 HASOMED GmbH
27. brain performance training Wilson 1989 differentiates between 3 rehabilitation theories e restitution of functions e compensation of functions and e substitution through intact functions Resource orientated therapy approaches Matthes v Cramon amp v Cramon 1995 emphasize those components or remaining skills of the client which can be used in order to reduce the impairment This aim is followed up with these treatment approaches procedures of exercises e imparting internal strategies supporting meta cognition and using external help Basically the training should orientate to the specific disturbance The more exactly the disturbance is described in terms of behaviour the more individual a training plan can be set up and the higher is the validity of the indicators of the training performance Computer assisted training of functions mainly consists of repetitive exercise and needs the therapist to impart strategies linking to daily routine Future RehaCom procedures will support the therapist in this strategy finding Aside from activating and training existing knowledge and abilities new skills are learned Through developing ecologically valid computer aided procedures a transfer of the acquired skills and strategies to daily routine is possible Meta cognition i e the individual knowledge about personal cognitive processes and the strategies necessary to perform tasks is specifically supported This and th
28. contains 3 files Fehler Ver 6 e Address e Payment e Procedures Fields highlighted in green are obligation fields which have to be filled out v OK x Cancel Help File Address 2011 HASOMED GmbH Management clients 25 In the file Address the client s details are documented Name First name Date of Birth and Gender must be entered obligatory Further details are optional The field Language is important for the training since the chosen language will be used to guide the client through the sessions give instructions and feedback and make use of training material specific to a certain country When entering the date of birth consider the correct format of the date To avoid mistakes caused by the turn of the millennium go to Windows Start gt Settings gt Control panel gt Regional settings gt Date Enter a short date with the year entered as YYYY r 52 Client data Te Payment Prescriptions Insurance status of the insurant M v First day of therapy 22 10 2012 Last day of therapy RehaCom code Notes EX Performance E Report TUE ile Payment The file Payment can be used optionally The details about Insurance company and Insurance number will be displayed in a Benefit Report which can serve as a proof of treatment for the Insurance company Th
29. d is explained in the corresponding manuals The button Parameter informs about which parameter adjustments used in the particular task The parameters can be looked at but not changed the OK button is switched off ab Ver 6 2 Zur Einsch tzung der kognitiven Leistungen des Trainierenden und zur Verbesserung der Kontrolle des Therapieerfolges wurden eine Option zum Screening kognitiver Leistungen integriert Die in RehaCom integrierten Screening Module finden Sie in Hauptfenster auf der Karteikarte Screening Nahere Informationen erhalten Sie im Kapitel Screening und Diagnostik 8 2 Results screening new from ver 6 2 The results of the screening tests can be viewed with the button Results gt file card Screening 2011 HASOMED GmbH Analysis of process data 53 rj Auswertung Herr Max Proband mj baba Screening NUQU Visuelle ration Arbeitsgeschwindigkeit d gy Druck CC Grafik NUQU Visuelle Exploration Daueraufmerksamkeit Details NUQU Visuelle tion Neglect Gesichtsfeldausfall GEAT Geteilte Aufmerksamkeit mcd GEAT Geteilte Aufmerksamkeit Reaktionszeit auditiv GEAT Geteilte Aufmerksamkeit Reaktionszeit visuell NUQU Visuelle Exploration Arbeitsgeschwindigkeit Testi Datum 0111 2012 Zeit 11 33 52 Z Wert 3 80 Bewertung starke Verlangsamung Test 2 Datum 16 11 2012 Zeit 11 52 42 Z Wert 2 68 Bewertung starke Verlangsamung Empfohlen wird die Arbeit mit dem
30. d server name has to be entered Dongle server name Name of Dongle server By clicking c the network will be searched of a Dongle server If one is found the valid server name will be inserted from version 6 In recent years the number of RehaCom training modules has considerably increased At the same time opportunities in licensing have enlarged Therefore you have the possibility to improve the clearness of your RehaCom system by hiding non installed modules and non licensed modules remove benchmark in the corresponding checkbox During training according to therapy prescriptions the patient mode is used What is new is that the return from patient mode key combination Ctrl T can now be protected by a password Thus can be prevented that patients have access to data of other patients during unsupervised training data protection For this purpose click on the field Use password and enter the desired password Before returning from patient mode the set password must be entered in the window Register patient field Password before pressing Ctrl T 10 2 1 Network installation The chapter Network Directory tells about using RehaCom in a network The network installation of RehaCom should be carried out by a competent skilled worker from version 5 00 Up to version 4 xx of RehaCom you had the possibility to copy database files to a network drive This procedure was usual for Paradox databases The f
31. dit fields You have to input data at Login name and Password if you want to use RehaCom at patients mode If you want to transfer data to RehaCom webserver all green marked fields have to be filled in see Prescriptions Internet Additional to tabsheets Address Payment and Modules you will find a sheet File Here you can save additional information about the clients state The sheet Prescriptions is used to define therapy prescriptions for the client Detailed information on prescriptions you will find at accordingly chapter 2011 HASOMED GmbH ER RehaCom Basic manual 7 Client data cE Address Payment Training Module File Prescriptions File File Self evaluation By means of this option it is possible to ask the patient before and after every training on his condition The patient estimates his current emotional state and performance During evaluation can then be assessed how the subjective feeling developed Thus both short term and long term changes in the patient s condition are documented High contrast This option is advisable for patients with visual disturbances visual field disturbances and neglects In many RehaCom therapy modules tasks are shown clearly visible 2011 HASOMED GmbH Management clients 29 4 3 Report The report briefly documents the client s treatment data It can serve as a proof of treatment for the c
32. dure not licensed see demo version and window licenses Installed and licensed procedures are listed in black font color If you don t want to show all procedures to the client you can change the look at the window network directory In the selection window for the current procedure you find the icon E behind different procedure names This icon indicates that a translation into the national language of the patient is present for the procedure At the bottom right three more buttons are situated Close finish RehaCom Help provides help information about this window and System With the button System system adjustments are carried out to your specific requirements license codes are inserted the functions of the RehaCom panel are checked routines for saving data are carried out etc 1 5 Demo version RehaCom modules with no license are available as demo versions only The highest and the lowest level of difficulty only can be experienced The therapist will be able to realize the module s potentials and possibilities In order to make your demo version a full working procedure you need a so called license code License codes are a combination of letters and numbers which have to be inserted in the PC with the keyboard License codes are available from your RehaCom sales partner Making a late order is possible any time from version 5 00 If you own a panel or dongle but you want to try out same procedures at demo
33. e First day of therapy is set automatically as soon as the client s data are inserted The Last day of therapy can be freely entered or by using the button Today Once this last day of therapy has gone by the client no longer appears in the window Clients but can be reactivated in case of a renewed treatment see chapter Select Client This deactivating is preferable to deleting the client data The RehaCom code may serve as selection criteria in scientific studies after exporting the data 2011 HASOMED GmbH ER RehaCom Basic manual Through ticking the boxes below Print it can be decided which data will appear in the Report r Client data Address Payment Training Module All procedures Training Module Attention and Concentration Training Module Divided Attention Training Module Vigilance Training Module Topological Memory Training Module Physiognomic Memory Training Module Shopping i Training Module Memory for Words Training Module Acoustic Responsiveness Training Module Figural Memory Training Module Verbal Memory f Training Module Visuo Constructional Ability Training Module Reaction Behaviour Training Module Plan a Day M Training Module Visuo Motor Coordination Training Module Two dimensional Operations Uu i I Uu Uu Training Module Spatial Operations Training Module Logical Reasoning Training Module Saccadic Training Training Module Explo
34. e adaptation to spontaneous strategies of the client contribute to an individualisation of the training 2011 HASOMED GmbH 3 RehaCom Basic manual 3 3 1 Management therapists Choose therapist from version 5 4 Therapist management is used to assign patients to a defined therapist So you can determine after a training which training is made by which therapist Additional a therapist management is necessary if a therapist want to buy licenses by Internet Therapist management can only be used at user mode as therapist Works a therapist without Internet support is the usage of therapists data optionally 2011 HASOMED GmbH Management therapists 19 By button Therapies you reach the window List of therapists Title Last Name Dr Gesundmann Dipl Psych Lauenbach Edit Delete Window List of therapists At this window you can input a new therapist change therapist data Edit or delete a therapist Load from The button preme becomes visible if the therapist works with internet support see User Mode or if RehaCom procedures licensed by Internet see License Mode This button can be used to import a therapist to this PC which is already registered at Internet at an other computer At appearing window type Username Internet and Password see Edit therapist at the stored therapist data will be loaded from Internet By the butto
35. e menu list System Network Directory the window Network Directory opens up Database directory for RehaCom Computer name LAPTOP2 FS LOCALHOST CAREHACOMDB System language Englisch GroBbritannien ENG change Patient s mode Use password on return from patients mode Computer has a touch screen Max refresh rate 60 Hide Windows at patient s mode No standard setting for screen resolution Activate RehaCom autostart at patient s mode 1920x1080x32 60Hz Show training module RehaCom webserver license Show training modules not installed RehaCom webserver data Show training modules not licensed V RehaCom background colour F Only show training modules of the patient v OK x Cancel 2 Help Window Network Directory The upper line says RehaCom s current system language This is the language in which the system speaks to the therapist It is used in all windows for entering clients defining procedures modifying parameters and analysing The language for the actual training can be adjusted separately in the window client data In the chapter Backup Restore you were told that all RehaCom data are saved in a database This database consists of many files saved in a directory DB When carrying out the installation this directory is set up automatically recommended C Programs REHACOM DB and filled with an empty database In the standard version Reh
36. eee eee eee eee eee e eee eee ee ee eee eee ee e eee eee eee eee eaae 13 Teil II Theoretical basis 14 1 Computer assisted rehabilitation c ecce ecce eee eee ee Een 14 2 Modular SIFUCLUFE ees oxr Ini raue BEN QR QE Y HE ees 14 3 Interaction therapist client computer eere eese e eere e eene nonse ense ee tensa eee 15 4 Adaptation to difficulty ooo eei e eoe e eie ee eoe ee eee e eate ENEE 15 5 Process measuring and feedback 0 0s0s0s0s0sossnonnnonsnsnnnnnnnnnnnsnnsnnnnnnnnsnsssnsnsnee 16 6 Training strategies sccaccccccscsecsssccscscscsosecssscesssccccosecsessesssocccosecesscessescccosecesssessseccccsecess 16 Teil III Management therapists 18 ESDRLI Egg rcc 18 2 Edit therapist ssscsiscisssccscssssccscscssscsessasscscssssecsessesssacscsssssessasssscscessssessasssssscsssssesseesseeee 20 Teil IV Management clients 21 1 Select a 24 lpee 21 2 New Edit ellent anne 24 3 REPOST ER 29 Teil V Management procedures 29 1 Select a procedure eeeeosssssssssnnnnnunsonsnnsssnnnnnnnnnsnnnsnssnnsnsnnnsnssnnssnnsnsnsssssenssssssnnnsnsese 29 2 Enter training Unlt E 31 Teil VI Training parameters 32 Parameters E 32 Teil VII Training 34 1 Self evaluatlon p 34 2 Workplace RehaC om iiss stssesisccatennacesctnesccenesancceunsaatcousnaiscensnauesausvensnssesusccebexansescnsecces 35 4 Modules non stop uuuu
37. eters windows serve Every module has specific training parameters as described in the help files of each procedure There you are also told about the therapy consequences of changing the parameters There are 3 ways to modify training parameters for a training unit window Training unit see chapter Enter training unit for a client in the main window press the big button Parameter before the training start and for a client in the therapist menu during the training see chapter Crash Course RehaCom When using and adapting the training parameters some things should be remembered If a client trains with a standard module marked with 9 or a training unit using a standard procedure automatically the standard settings of the parameters are generated If the parameters of a training unit are modified these modifications will count as standard for the training unit If a client uses the training unit the unit s standard will be generated not the standard of the original module If a standard module or a training unit is associated with a client the parameters can be adapted specifically to the c ient without consequences for the original module or training units However if a module s parameters are modified and it is later associated with a client the training parameters of the client will stay untouched That way the training parameters of a client are not coupled with possible basic changes Prescriptions I
38. etwork database is not accessible the second local database is used If after work with second database first database is found again all new local data updated to network Note The work with two databases takes some time in particular when starting up and when terminating RehaCom The client administration is limited to the selection of the clients during the separation from the main database They should select this option only if the workstation is really separated from the network RehaCom webserver Using the option Internet licensing and Internet support data will be transferred from to RehaCom webserver Transportations is scrambled and uses a secure connection HTTPS If a firewall is installed in the network all HTTP packets have to be passed from version 6 0 RehaCom can be licensed by an in house server For this purpose a service must be installed on the server The setup file to be used is located on the RehaCom CD in the directory LicenseServer After the installation you will find the service RehaComLicensingService6 in your service directory The service is managed via system control module RehaComLicense LJ RehaComLicense When starting this module the following window appears 2011 HASOMED GmbH System adjustments e U RehaCom license administration Install Service Service is installed amp Uninstall Service Dongle connected dongle no is 3166 2
39. from Win98 the frequency automatic changed to a value near 75 Hz to avoid flicker Please ask your local PC dealer or system administrator to install the correct driver for graphics card and monitor Prescriptions Internet If you want to license RehaCom procedures by Internet or if you want to setup a therapeutic observed training by Internet chapter Prescriptions Internet your PC needs an Internet connection The Internet connection can be made by modem ISDN DSL or local area network The data transfer is optimized so that the amount of data to transfer is low So an observed training is possible too at low bandwidth normal modem connection If data have to be transferred RehaCom opens the standard Internet connection setup at Windows system After one minute without data transfer the connection is closed by RehaCom automatically All data transfer is done by HTTP Port so a firewall should not obstruct the connection 7 3 Modules non stop In the chapter Crash course RehaCom you find all steps necessary before the training and the course of a training itself A training is started with the big button 2011 HASOMED GmbH 7 4 Training Procedures Non Stop KS Start in the main window Above the big button Start you see the smaller one Modules Non Stop with which you can modify the course of a training If this button is switched off 5 the therapist menu opens up after pressing Start Now
40. ge r Panel Dongle searching panel Registered panel number 31662 Found dongle Dongle found PanelNo 31662 LicCount0 84 date 05 01 2010 LicCountl 0 date 14 07 2010 Lr Window Panel Dongle Now the correct functioning of the panel can be checked Pressing the panel buttons can be seen in the smaller window left The corresponding buttons change colour and a counter is incremented To check the joystick move it and follow the movements of the little circle in the big grey square You should be able to reach the field s edges with the joystick The joystick is working correctly if the X and Y values in the left top and the right bottom corner are between 0 and 1 If you suspect an error in the joystick calibration e g a client cannot reach the outer edges on the screen press the button Calibration A window will open up displaying the joystick as a big black dot Now move the joystick slowly to all 4 corners the dot on the screen will follow If you moved into the 4 corners press any key and the new calibration will be saved With the button Protocol print all results of the panel test are printed out The RehaCom service is going to ask you for it in case of an error RehaCom panels and dongles are classified as maintenance free A maintenance interval is not fixed 2011 HASOMED GmbH System adjustments 10 5 License mode At this window you can setup how to license RehaCom procedures p
41. gt Name RehaCom license server gt Finish 2011 HASOMED GmbH ER RehaCom Basic manual This example applies to the Windows firewall in Windows7 If you use another firewall please read in the corresponding manual Licenses Licenses are stored on the dongle that must be connected to the server Before connecting the dongle an appropriate driver must be installed RehaCom DVD directory Sentinel When the dongle is connected the existing licenses are indicated in the list Before first use licenses must be installed once on the server Installation of licenses happens via license code license file or license DVD License code input in the field License code click on Add code License file when clicking Read disc a window appears in which you can select the license file License CD insert license CD and click on Read disc After the installation is finished all available licenses are shown in the list RehaCom must be installed on all PC s on which licenses should be used In the menu System License mode the mode Licensing via license server is to be set If one license is used in the institution the current user and the useful life is indicated in the table If one license is used this license is blocked for other clients during the duration of use 10 2 2 Database check from version 5 00 From version 5 00 RehaCom uses a client server database named Firebird The change from Parado
42. he shape of a bar chart shows the training progress over all the sessions the higher the bar the better the performance see also chapter Crash course RehaCom With the button Print Graph the bar chart can be printed and handed over to the client The motivation in the client is improved when he can show the progress of his work to his relatives In children up to 14 years instead of the bars smileys are used the more smileys the better the performance 2011 HASOMED GmbH ER RehaCom Basic manual 24 22 vo 18 L 16 e 14 V 12 4 aiiis 7 8 9 10 11 12 13 14 15 16 Number of session Part of the graph of performance for children The file Results provides the therapist with detailed information about the training progress performance deficits and capacities ga o nt EI graph Print all pj Pint D ises T e Course of training en is oordination calculations ior zm Two dimensional Operations i deus Reaction Behaviour t E Visuo Constructional Ability i z eR Figural Memory 18 Physiognomic Memory a Topological Memory is E tention and Concentratic m 1 2 3 LAETI 6 7 8 lenta ion oc asoninc e tention oping Spatial Operations 3D Saccadic Training z Memory for Words E MST Vision Restoration Therapy InVis Working Memory test version lultimodal Observation i sual Attenti I
43. hout network connection Internet connection is not necessary Additionally you have the possibility to setup therapy prescriptions at RehaCom workstations at local area network or with Internet connection The caring for therapist defined when how long which therapy module with which parameters is to be accomplished The client works at patients mode at PC has no access to the RehaCom system He can only run this therapy procedures which are defined by the therapist 2011 HASOMED GmbH Training a Defining therapy prescriptions Therapy prescriptions are defined at window Client data at tabsheet Prescriptions r Client data mmm Address Payment Training Module File Prescriptions Sail Mon Tue Wed 01 10 02 10 03 10 completed prescription Attention and Attention and Concentration Concentration prescription Topological Memory prescription Vigilance prescription prescription prescription Spatial Operations Spatial Operations Spatial Operations x Cancel Help Window Client data tabsheet Prescriptions The area shows a timetable For every day can be defined which therapy procedure the client should do The actual date is marked yellow At the shown example are 3 prescriptions defined for monday Two prescriptions are completed the 3 prescription has not been done Error Ver 6 If a completed prescription i
44. ients This is typical for therapists in clinic or practice If RehaCom training is accomplished locally only by one therapist the check before use therapist data to be removed In this case all therapist related buttons and menus in the main window disappears with external clients The therapist can handle additional patients at Hometraining prescriptions end results are transferred from therapist to patient an back The transfer ist possible By data drive at the window Select a client the data are exported to an e g 2011 HASOMED GmbH System adjustments USB stick which the patients takes home By Internet at the window Edit client the option Supervision by Internet must be activated as client At this mode works a client RehaCom functionality is limited without supervision The patient client works alone at home You can t edit prescriptions or switch to the patients mode with supervision The client is cared for training by a therapist He can see but not change any data Clients should work in the patients mode The data transfer between patient an therapist can be made by data drive e g USB stick or Internet Supervision by data drive The therapist makes prescriptions Is the therapy plan of the patient finished the patients data are exported to a data drive e g USB stick at the windows Select a client The patient takes the USB stick home and connect it to the PC at home before starting RehaCo
45. ing Before putting RehaCom into commission some system adjustments are necessary which are described afterwards If you happen to have a demo version this will be of no interest for you For an installation of RehaCom from the CD on your PC you need to carry out system adjustments RehaCom can be obtained e as demo version without additional devices with a RehaCom panel or with a dongle If you obtained the system with a special RehaCom panel this panel is connected to the serial interface of your computer situated mostly at the back of the PC The new flat RehaCom panel from 1998 on needs no power supply of its own 2011 HASOMED GmbH 2 RehaCom Basic manual whereas the older panel does So if necessary make sure the power supply is plugged in For therapists whose clients are not motor handicapped RehaCom can be used with a dongle For training then only the traditional PC keyboard is needed However some of the RehaCom procedures need the panel as described above The dongle is a matchbox size plug connected to the printer jack The printer cable is then plugged into the back of the dongle allowing printing as usual from version 5 00 Since 2002 is a new variant of RehaCom panel available This panel is connected via USB link to the PC An USB connector isn t available at older computers operating systems Win95 and WinNT4 You can connect additional input devices to the USB panel e g foot switches for
46. ithout showing all patients names If you want to choose a patient with his full name you must use the field 2011 HASOMED GmbH Management clients 23 Search The option Only own patients is used if the system works with some therapists Is this option is switched on only patients shown at list which had performed a training under observation of the chosen therapist With the button New a new client is taken in With the button Edit client data in the data base can be changed For further information about the client data saved in the data base see chapter Client data The button Delete removes a client including all process data from the data base Generally a client should not be deleted but rather be inactivated and marked as discharged For that mark the particular client and open up his Client data Now chose the file Payment and insert a last day of therapy date of discharge Thus the client and all his process data remain available in the data base In the state of a discharged client he no longer appears in the list of the current clients Discharged clients however can be reactivated if desired for further treatment All things described above are only true at standard RehaCom works with a local database or with a network database If you want to disconnect RehaCom from stationary database and work witha second database mobile a change of client data is impossible At this mode you can only choose an a
47. lained now by way of an example Battery for clients with disturbances in memory called Battery Memory 1 Clients of this module shall train the standard modules Memory for words Verbal memory and Figural memory one after the other and 15 minutes each First open up the window Modules the big button Modules in the main window Press New and the window training battery appears Alternatively Modules New in the menu list can be pressed Now enter a name in the field Name of battery Only one unit may be called by that name If you made a mistake you will be told so The left hand side list contains all modules available in RehaCom by default By means of the arrow buttons in the middle double click or drag and drop the modules Memory for words Verbal memory and Figural memory are moved to the right hand side list This list Module of training battery now shows the modules the new training unit consists of The order of the modules in the training unit can be changed via drag and drop 2011 HASOMED GmbH 32 RehaCom Basic manual Attention and Concentration Divided Attention Vigilance Topological Memory Physiognomic Memory Shopping Memory for Words Acoustic Responsiveness Figural Memory Verbal Memory Visuo Constructional Ability Reaction Behaviour Plan a Day Visuo Motor Coordination Two dimensional Operations Spatial Operations Logical Reasoning Saccadic Training Window Training bat
48. lient has to train independently at the computer Untrained clients are not often not able to start a program under Windows For this reason you can use this option here which starts RehaCom immediately after the start of Windows operations system With this option the client has the possibility of working with RehaCom after switching on of the computer even if he does not have any Windows experience RehaCom Web server If you work with internet support RehaCom data from clients and therapists are stored at a web server Here you can edit the web servers name The standard is www hirntrainer com and should only be altered after instruction of RehaCom Support Additional information you will find at chapter network installation Dongle at network For licensing RehaCom modules a dongle similar to an USB Stick can be used see chapter Licenses The Dongle can be connected to the workstation of the user as well as to a server at network Before a dongle at a server can be used a driver Sentinel Protection Server has to be installed at the server Please use the program Sentinel Protection Installer 7 4 0 exe from directory Sentinel at RehaCom install CD After that you can connect the dongle to the server and configure the usage of the dongle at workstations use Dongle server 2011 HASOMED GmbH e RehaCom Basic manual Is the box checked a dongle at network will be used for licensing A vali
49. lities to use it One way using the big buttons is described in the Crash Course RehaCom With the big buttons a client is entered in the data base or picked out for a session a procedure or a training unit is defined or chosen for a client training parameters are checked or changed before the start the training is started and finally the process results can be analysed Furthermore the menu list at the upper edge of the window can be used after a mouse click it opens up and shows further functions 2011 HASOMED GmbH 12 RehaCom Basic manual Therapist Management therapists new a new therapist is inserted choose a therapist is chosen edit editing therapist data Client Management clients new a Client is newly entered select select a client for training edit edit client data Procedure Management procedures and training units new define a new training unit select select a procedure training unit edit edit a training unit Parameter change training parameters for the current procedure Start Start training Results see the training results System check the system functions Network Directory lay down rules for the network User mode which kind is the RehaCom user Licensing mode _ how the procedures are licensed Pult Dongle Check the RehaCom panel or dongle License License administration Backup Restore Make a safety copy of the data Start Service error analysis for the RehaCom Service Client font adjusting a font for the
50. lready existing client If you want to change patient data a connection to main database is necessary Prescriptions Internet The button Load from Internet is only visible if at License Mode the option Licensing by Internet is chosen or if at User Mode with Internet support is chosen By this button you can load a client to local system The client has to be stored to RehaCom webserver at an other computer The reason can be for instance if as client changes from clinic to ambulant rehabilitation and RehaCom data want to be transferred by Internet The button Licenses is only visible if at Licensing Modethe option Licensing by Internet is chosen and the client is registered at RehaCom webserver By this button you have the opportunity to order therapy licenses over Internet By the buttons Export and Import you can save all RehaCom data of one client to a file e g at disk So you have the possibility to transport client data from one PC to another PC without network 2011 HASOMED GmbH a RehaCom Basic manual 4 2 New Edit client Every client s details have to be inserted once before the first session and saved in the RehaCom data base They are entered in the window Client data and also operated from there To reach the window Client data go to e menu list Client New or Client Edit or the window Clients button Clients in the main window and press New or Edit The window client data
51. m After login with name and password at patients mode the prescriptions are read from the USB stick The patient works on the training After training all results are automatically stored back to the USB stick The patients brings the data drive back to the therapist he can import the data and see what the patient has done at home Supervision by Internet The therapist makes prescriptions Is the therapy plan of the patient finished the patients data are automatically transferred to the Internet server After login with name and password at patients mode the prescriptions are loaded from Internet server The patient works on the training After training all results are automatically stored back to Internet If the therapist opens the window Edit client all results are read from the Internet the therapist can see what the patient has done at home 10 4 Panel Dongle Before the first training RehaCom needs to be informed whether e a RehaCom panel or a dongle matchbox sized box is used see chapter Before the first training If either is recognized these devices provide information about licenses e g the panel number and the license counter If neither is detected the procedures demo versions only can be started The button Panel Dongle in the window System parameterstarts a check and 2011 HASOMED GmbH RehaCom Basic manual looks for panel or dongle The results are displayed in the window Messa
52. memory Verbal memory Reaction behaviour Visuo constructive abilities Plan a day Visuo motor coordination Two dimensional operations Spatial operations Logical reasoning Saccadic training Exploration from version 5 00 Reactivity Multimodal observation only available in German language Prescriptions Internet Mental activation only available in German language Spatial operations 3D from version 5 4 Calculating only available in German language Overview and reading only available in German language from version 5 5 Occupational training Exercises attention only available in German language Occupational training Exercises memory only available in German language Occupational training Exercises executive functions only available in German language Divided attention 2 Visual restitution training InVista from version 6 0 Visual attention only available in German language 2011 HASOMED GmbH o RehaCom Basic manual Working memory from version 6 2 Alertness Response Control Divided Attention Working Memory Visual Exploration 7 6 Prescriptions Therapy prescriptions RehaCom offers the possibility to adjust at observed training for a client This option is important for clients which are at the end of there stay at clinic or ambulance but need a continued cognitive training at practice or at home Therapy prescriptions can be setup at a single PC wit
53. mory Training Module Physiognomic Memory X fs fuo fue le eo gt New Parameter R Delete Training Module Shopping Training Module Memory for Words Training Module Acoustic Responsiveness Training Module Figural Memory Training Module Verbal Memory Training Module Visuo Constructional Ability Training Module Reaction Behaviour Training Module Plan a Day Training Module Visuo Motor Coordination Training Module Two dimensional Operations Training Module Spatial Operations Vv fe fr fr fer fr fer fer fabe fer ate tat fe 5 e e e e e e e e e e e Terininn Madila l anieal Danenninn Window Procedures The internal list can also be checked or modified via the window Client data in the file Procedures see chapter New Edit client With the buttons New Edit and Delete you can newly define or modify a battery specifically to a client s requirements or to a disturbance see chapter Enter training units The button Parameter in the window procedures changes its name towards Edit if a new battery was defined via New In the list certain procedures are marked with amp These are the RehaCom Standard procedures They cannot be modified or deleted Only their training parameters can be adjusted to the client with the button Parameters in the main window Additionally some procedures are marked with a This tick means that you have a license for this procedure The
54. n should and must never substitute the therapist Especially at the beginning of each session the co work of therapist and client is desirable in order to arrange today s training aim estimate the current emotional and motivational state of the client and his performance capacities The same applies for the end of each session both should evaluate together and talk about difficulties and problems that occurred The patient panel as central element of the RehaCom system is reduced to the minimum necessary 5 extensive buttons 2 special buttons a joystick and number buttons in older panels The rugged extensive reaction button enable also motor impaired clients to move securely If desired the feet can be used Some buttons of the patient panel are used similarly in all RehaCom modules First of all there is the big central OK button generally used for confirmation or for going on to the next instruction The other 4 big buttons are mainly used as cursor buttons e g in order to move an element over the screen With the Minus button the client can interrupt the training anytime 2 4 Adaptation to difficulty RehaCom works adaptively and adjusts to the client s capabilities optimally Over or undertaxation is avoided Ideal preconditions for a maximum motivation for working with the system are created With the parameter menu further adjustments to a client are possible Also with the so called Editors client specific eleme
55. n SES the therapist chosen at list will be made to current therapist The selection of current therapist can also be made at mainwindow Please use combobox Current therapist 2011 HASOMED GmbH RehaCom Basic manual 3 2 Edit therapist from version 5 4 This window is opened by buttons New or Edit at window List of therapists or by menu at mainwindow To use therapist data only at clinic or practice the minimal inputs are Name First name und Station department To register a therapist at Internet additional data are necessary All necessarily fields are marked green n Therapist New neurological therapy centre Fa 3 i i 9 Im tendon GE gan zm i i Edit therapist data the button globe is used to load actual list of regions from RehaCom webserver If the field register at Internet is checked therapist data will be stored at RehaCom web server after clicking OK 2011 HASOMED GmbH Management clients 21 4 Management clients 4 1 Select a client Before the first training the client s data have to be inserted in the data base once see chapter New editing client Selecting a client for training or process data analysis starting in the main window is possible in 3 ways pressing the little button at the field Current client A list of all client opens up Inserting the initial letter of the patient s surname the list jumps
56. nd 10 Values before training are shown in red values after training are shown in blue Workplace RehaCom When setting up a workplace for RehaCom remember the following points The RehaCom panel is positioned in front of the monitor Monitors are recommended to be of a size of at least 17 Make sure there is enough space for putting down the arms in front of the panel The computer panel generally used by 2011 HASOMED GmbH ER RehaCom Basic manual the therapist is to be set up at the side in a way that the therapist can easily see the monitor The distance between the client s face and the monitor should be 60 70 cm A table 70 cm high and an upholstered chair adjustable in height with arm and back rest are recommended The workplace should be illuminated adequately Direct blending as well as reflexions on the screen are to be avoided Try to avoid any disturbances as much as possible When training with procedures using speech or acoustic feedback headphones are recommended in case there are several clients in one room in order to avoid interferences The graphic card s frequency of change of pictures should be at least 60 Hz better is 70 Hz at a resolution of 640x 480 pixels in order to prevent early fatigue in the client How to generate this frequency in your computer is written on your graphic card from version 5 00 If your operating system and graphics card supports automatic change of flickerfrequency
57. ning starts Long instructions The long instruction is shown before the training in order to instruct the patient what to do You can switch it on or off Automated means at first 2 sessions the patient will get instruction from 3 session no instruction is show From now on the patient can get instructions by the red minus button if needed Repetitions permits If this checkbox is marked the patient can perfom training as often as he wants If this option is switched off the training can be done only one times Ask for patients feedback After patients training is done the patient is asked for a message for the therapist in default You can switch off this message input by unchecking the checkbox Licensing cost 1 If at menu License Mode Licensing by Internet is chosen 2 if at menu User Mode with Internet support is chosen 3 if a therapist is selected you define who should pay for the training First possibility is the client byes licenses button licenses at window choose client The second possibility is licenses are bought central by therapist or clinic button licenses at window therapist list Instruction before the training At this tabsheet you can give special instructions These Instructions are shown if the client starts the training Instruction after the training At this tabsheet you can give special instructions These Instructions are shown if the client ends the training Inte
58. ns acquisition start solving the task feedback possibly loading of sounds etc but not the breaks set up by the patient minus button Procedure specific process data explained in the procedure s manual are displayed then Between the tables a small field is situated with a little arrow on the right which you know from the main window When clicking at this arrow a list opens up containing all process data available in this training procedure When selecting a certain feature the graphic Course of session changes accordingly Processes can be analysed through this visualisation e g reaction in the procedure Reaction behaviour The buttons Print graph Print 1 session and Print all sessions create lists for a performance documentation The lists are previewed and the printing is started with Print With Setup the printer can be generated The Preview size can be varied as you desire The list Print all is the same in all RehaCom procedures and provides details about 2011 HASOMED GmbH 52 RehaCom Basic manual e the consultation number as a serial numbering of sessions date and begin of the session level at the begin and the end of the session and the highest level achieved in the session the length of session the effective training time the cumulative training time and the number of interruptions as described above The content of both lists Print one session and Print all sessions is procedure specific an
59. nse mode can be adjusted that the RehaCom licenses are no longer managed locally on your PC but on your in house server Thus a license pool for an entire institution can be acquired and the licensing for each single computer workstation is omitted A more flexible use of RehaCom licenses is possible For each RehaCom module various licenses can be acquired If you bought e g two licenses Attention and Concentration the module Attention and Concentration can be used simultaneously on two PC s in your institution If the module should be started on a third PC in the institution the user can decide whether he wants to wait for the end of training of another user or whether time licenses are to be used In the window licenses is indicated who is using the module you want to train with and when the license is available again Backup Restore All client data parameters and process data are saved in a data base This data base consists of many files situated in the directory DB in standard installation see Network directory In regular intervals at least once a week a security copy of this data base a Backup is to be made If the data base is damaged disk error power failure in the moment of writing etc a Restore by means of the security copy is possible Please remember that you can easily re install RehaCom from the CD in case of an error but not so your client and training data They are lost without a backup
60. nsiveness Training Module Figural Memory Training Module Verbal Memory Training Module Visuo Constructional Ability Training Module Reaction Behaviour Training Module Plan a Day Training Module Visuo Motor Coordination Training Module Two dimensional Operations Module amu Window Procedures The desired training procedure is chosen from the list with a double click You then come back again to the main window In the field Current procedure you find the one you just chose 2011 HASOMED GmbH 3 RehaCom Basic manual The training starts by pushing Start A starting picture specific to each procedure appears HASOMED RehaCom Divided Attention Training for Mr Simon Sample Continue with OK HASOMED Copyright 1992 2011 Ver WIN 6 1 0 Hardware and Software for Medicine Example Starting picture of the procedure Divided attention for the client Simon Sample For control purposes the name of the RehaCom procedure and the client are displayed To start training push the RehaCom panel OK button For every procedure there is a special manual describing it Each training session consists of a client s instruction and the actual training A client s first two sessions with a new procedure automatically include an instruction with an explanation of the task of how to use the panel and further specific aspects In very weak clients and people with impaired sight this instruction can
61. nt TOME socsasacronit ccciccccescexccscceascccosseescbocesexcsescssscbovossscoussesscsodeveccsessssecsetessscss 78 10 Start idR EID aa ERCE TE E E 79 Index 80 2011 HASOMED GmbH Introduction 1 1 introduction 1 1 System RehaCom RehaCom is a computer assisted therapy system for cognitive functions whose efficiency is proven in evaluating studies The system consists of a basic programm and a number of training procedures Using RehaCom is very easy Aside from sources of help available in all RehaCom components pressing button F1 this Basic manual RehaCom gives basic information Knowing this manual is precondition for an efficient use of RehaCom Before working with RehaCom some adjustments are necessary which you find in the chapter Before the first training The chapter Crash course RehaCom gives a short introduction enabling you to work with RehaCom For every RehaCom module there is a special manual which e ina theoretical part describes the cognitive function to be improved e lists relevant groups of patients describes the specific design of the training the feedback the levels of difficulty and the training parameters and e makes suggestions about how to analyse the process data in order to ensure the best possible training strategies Further information about computer assisted cognitive rehabilitation and rehabilitation strategies can be found in the chapter Theoretical basis 1 2 Before the first train
62. nternet If you want to care at patient by Internet or if you want to work at patients mode you can define prescriptions at window client data Additional information you can find at chapter Prescriptions Internet 2011 HASOMED GmbH RehaCom Basic manual 7 Training 7 1 Self evaluation By means of RehaCom the patient can evaluate his own performance before and after training The adjustment for each patient is made in client data Client data o w Address Payment Training Module File Prescriptions The questions themselves are in the file Global txt under SelfEvaluationQuestion1 SelfEvaluationQuestion2 SelfEvaluationQuestionAfterTraining1 and SelfEvaluationQuestionAfterTraining2 Before the training starts the following form is indicated 2011 HASOMED GmbH Training 35 How do you feel today i D 7 2 Continue The patient clicks on a particular point on the white bar and thus evaluates himself The form is indicated for each of the two questions SelfEvaluationQuestion1 SelfEvaluationQuestion2 After training the second questions SelfEvaluationQuestionAfterTraining1 SelfEvaluationQuestionAfterTraining2 are queried The evaluation is made in the index card self evaluation Two graphics are indicated one for question 1 and one for question2 The value of self evaluation is between 1 a
63. nts can be integrated e g pictures of relatives can be used in the procedure Physiognomic memory 2011 HASOMED GmbH 6 RehaCom Basic manual Client as well as therapist can interrupt or finish the training anytime 2 5 Process measuring and feedback For measuring the processes module specific data are recorded They are the basis for a change of the level of difficulty and for feedback They are saved in an archive and help operating intervention processes These data may also be used for a diagnosis accompanying the training When working the client receives information about his performance with simple graphic elements on the screen or with sounds Furthermore the client is verbally informed when there is a change in the level of difficulty and with which level it will go on Mostly an error analysis of the last task is included However different forms of helping criticism are used such as hints to further necessity to practise and information is provided about which aspects of the training the client shall concentrate on After finishing a session therapist and client can have a look at the graph of performance see Analysis of process data It is the basis for the final talk at the end of each session Aside from that the therapist receives further details about the performance Training parameters and client and process data can be exported for scientific investigations into an ASCII compatible file A
64. om Before a patient completes its first training you can estimate with the screening modules which deficits the patient may has After performing the tests the performance of the patient can be compared with the results of normal volunteers button Results gt file card Screening Is the performance below the average the system recommends a therapy module the patient can work with After a certain number of therapy sessions the screening can be repeated In the analysis is then indicated weather the performance of the patient has improved or not It is recommended to repeat the screening modules after 10 therapy sessions earliest At too low test intervals is no therapeutic success measurable Besides often testing leads to learning effects and falsifies the test results 2011 HASOMED GmbH 10 10 1 System adjustments System adjustments System parameter The button System opens up a menu for adjusting RehaCom to your specific requirements Please remember that before the first training a few but important system adjustments are necessary kW Network i Directory KEN Panel Dongle License Volume RehaCom Start Patients 277 1 Service mode Window System parameter e Network Directory adjust RehaCom to a computer network e User mode from version 5 4 setup if RehaCom is used by a therapist or patient e Panel Dongle check and adjust the RehaCom panel or the dongle
65. ompany or so taking over the treatment costs At the top of the report the insurance company and the client s details appear following the checkboxes marked for printing in the window Client data see chapter New Editing client Then a table follows containing the columns e RehaCom procedure with which the client was treated date of the first session date of the last session number of sessions Length of sessions and the last level of difficulty achieved in relation to the highest level possible 5 Management procedures 5 1 Select a procedure Once a client s data are entered a procedure or battery for him is selected With the button Procedure or the menu list Procedures Select the window Procedures opens up With a double click on a procedure in the list or marking and pressing Select a procedure for the next training is picked out The chosen procedure is immediately added to an internal list containing all the procedures planned for a particular client To check or select from this internal list go to the main window and press the small arrow at the field Current procedure see chapter Crash Course RehaCom Now you can pick out the next training unit for a client 2011 HASOMED GmbH RehaCom Basic manual n Training Module 9 Training Module Training Module Attention and Concentration Training Module Divided Attention Training Module Vigilance Training Module Topological Me
66. onstruktive ability Solving problems and developing strategies Furthermore there are modules for Sakkade and visual field training for clients e g with hemianopsie and neglect Additionally there are training units serving the compensations of deficits and the imparting of abilities and skills even more complex An important meta aim is the integration of processing information of different sensoric modalities via stimulating several channels RehaCom is in a process of constant development in which established procedures are mirrored in the experiences of the clinical routine and new procedures are created Basically an optimal individualisation of the computer assisted training is wanted Highly realistic procedures are of growing importance Of particular significance is the proportion between procedures training basic functions and training units with higher demands 2011 HASOMED GmbH Theoretical basis 15 2 3 Interaction therapist client computer The relationship therapist client computer must be set up in a way that therapist psychologist doctor client remain the basic element The therapist should be released from routine work The client must experience the computer as part of a therapeutical overall concept and feel that he is given attention The procedures are structured in a way allowing the client to train on his own in general for a longer time instructed and motivated by the computer The computer however ca
67. ou can run the program too by pressing the button copy database at menu System gt Network directory 2011 HASOMED GmbH ER RehaCom Basic manual At the window you have 2 possibilities 1 to convert a RehaCom Paradox database RehaCom version up to 4 15 into a RehaCom Firebird database RehaCom version from 5 00 2 to copy a Firebird database from one location to an other 1 copy convert Paradox database Switch the database type to RehaCom 4 area database source 2 copy Firebird database Switch the database type to RehaCom 5 area database source Enter the source directory or use the button Sho choose a database source Enter the destination directory or use the button to choose a database destination Is the destination directory at an server network the directory has to be created the from administrator by hand Information about notation for the directory you can find at chapter network installation Copy a Paradox database RehaCom 4 from network into a Firebird database RehaCom 5 If you have already used a network database with RehaCom version 4 the database can t converted fully automated Please follow the listed procedure below to convert you database successful Ask a computer specialist if necessary RehaCom4 To save data at a server only a directory has to be released RehaComs Firebird is a client server database That is the reason that Firebird has to be installed at the serve
68. panel or dongle The licensing is done by connected devices RehaCom panel or dongle You can license single therapy procedures procedure licenses In addition you 2011 HASOMED GmbH RehaCom Basic manual 10 6 can order time licenses Prescriptions Internet Licensing by internet For licensing by internet you don t need a connected device Clients and or therapists have the possibility to order licenses by internet If one starts the training a short internet connection is made to get the license from the clients or therapists account see also prescriptions from version 6 Licensing via license server In hospitals and huge institutions RehaCom can be licensed via license server A server within the institution distributes the available licenses so that RehaCom can practically be used on every PC with network connection On the server a separate program for license management must be installed instructions in chapter network installation Your administrator will inform you about the name of the server and the port If necessary the used port must be unlocked in your firewall For this purpose you also find information in chapter network installation Licenses Licenses for RehaCom are provided in 2 versions licenses for single procedures for an unlimited number of sessions over 7 years licenses for a defined number of sessions 1 session lasts no longer than 60 min as a global licen
69. pist menu In the upper part of the therapist menu you find the Set and the Current length of session The Current level of difficulty can be checked and modified The button Start without instruction starts the current module anew Process data acquired so far will be lost With Start with instruction the instruction is given once more the process data acquired so far will be lost too With Continue the training is continued with the next task Pressing Parameter parameters of the current module can be modified see chapter Parameters Thus the training can be adjusted to a client s requirements even further than the system s abilities to adapt reach Each procedures manual will tell you more about that With the button Results the therapist can have a look at and analyse the process data The therapist can realize and react towards the client s performance deficits and capacities during the training already see chapter Analysis of process data Finally the Close button breaks off the training If you train with a training unit consisting of several modules a single module can be broken off with the button Close module visible under these circumstances only 2011 HASOMED GmbH Training 9 7 5 Modules The following training modules are available in RehaCom Attention and concentration Divided attention Vigilance Topological memory Physiognomic memory Shopping Memory for words Acoustic reactivity Figural
70. procedure specific parameters can be adjusted see Training parameters Aside from the system s ability to adapt to clients performances further adjustments can be made here The manual of each 2011 HASOMED GmbH 0 RehaCom Basic manual procedure provides detailed information about that The button Results allows an analysis of the process data acquired so far Already during the training the therapist can recognize and influence deficits and capacities in the client s performance see chapter Analysis of process data Finally the Close buttons allow to break off the training or a procedure in case a training unit battery consists of several procedures only then the button Close procedure is visible If the set time is over the training is finished If at mainwindow the checkbox Non Stop is not marked a graph of performance appears documenting the progress from session to session with simple lines The higher the line reaches the higher is the performance achieved On this basis the therapist leads the final talk with the client about the session in which he comments on the current performance and further strategies are discussed together More detailed information for the therapist can be found in the file Results allowing exact deficit analysis see Analysis of process data Performance overview Vigilance Mr Simon Sample i2 345 67 8 E configuration Number of session gt Dir
71. procedures without a tick can only be carried out by using global licenses or in the demo version Prescriptions Internet If you want to care at patient by Internet or if you want to work at patients mode you can define prescriptions at window client data Additional information you can find at chapter Prescriptions Internet 2011 HASOMED GmbH Management procedures 31 5 2 Enter training unit After installing RehaCom your PC all standard procedures given you have a license for them are available for training The training parameters are pre generated so after selecting a procedure a client can instantly start practising Furthermore RehaCom offers the therapist to define new training units for a particular disturbance e g in memory skills or a certain group of clients A training unit can consist of one or a range of module s and include special training parameters created by the therapist Training units can be named freely It is recommended however to use the term Procedure for training units consisting of one standard module only and the term Battery for units consisting of more than one standard module Both terms should precede the unit s name There might e g be a training unit called Procedure long term attention consisting of the standard module Vigilance with the Parameters especially adapted or a Battery Memory 1 combining three standard memory modules How to create a new training unit is exp
72. r as first step install from RehaCom CD After that a directory has to be created at the server where the future database will be stored e g c data RehaComDB This directory don t has to be released to other users RehaCom detects at first startup that the database has to be converted From that reason the program CopyDB exe will be started In our example we will assume that the database was stored at directory R RehaComDB till now R is a network drive At the window RehaCom database copy we will find both at edit field source directory and edit field destination directory the same text R RehaComDB 2011 HASOMED GmbH System adjustments e The entry at destination directory isn t correct this entry you has to change by hand or by pressing the button E Here the entry must be changed to the format Servername directory see also Network installation Servername is the name of the Firebird server Directory is the local directory name at the server in our example C data RehaComDB thought is drive C of the server At the edit field you should enter ClinicServer C data RehaComDB example Now press the button Start copy the conversion starts At success is in the area Messages Copy of database completed reported On errors e g defect source database all errors are listed in this area Faults don t have to lead to a copy of database which isn t working In this case it has to be calcula
73. ration Training Module Responsiveness Training Module Multimodal Observation Training Module Mental Activation Training Module Spatial Operations 3D Training Module Calculations Training Module Overview and Reading Training Module Attention Exercises Uu Trainina Module Memory Exercises 4 inv fubv Gr Ge fave Gr Gr fubv Gr Ge Ge fe fr Ge Gr abe e Go uve fuvo Gr Gr uiv fuv tie fne Ge Lu File Module The file Module associates a client with a or a number of module s see also chapter Enter training units The list shows all standard modules as well as training units defined by the therapist The right hand side list contains all modules the client is going to train with Entering or deleting of procedures is carried out either through a mouse double click through marking the module e g with the mouse and pressing the small arrows in the middle or through drag and drop Prescriptions Internet At tabsheet Address are button Read card and Write card if a smart card reader is connected to the computer If you own a compatible smart card reader writer you can by button Read card read a German only insurance card of client by button Write card write special RehaCom smart cards in order to give the client a more easy access to patients mode 2011 HASOMED GmbH Management clients RehaCom smart card with reader From version 5 3 you will find additional e
74. rehacom com Prescriptions Internet If license mode Internet is activated you can order global licenses time licenses direct at internet In this case the button Order appears Button Order By clicking the button Order an internet connection is made to buy licenses online At license mode Internet RehaCom connects the webserver before every training an gets the license from server RehaCom counts with 10 minutes clock Licenses can be booked from account of therapist or from account of therapist clinic practice Booking from client account RehaCom is booking from client account if at window User mode the option as patient without internet support is chosen or when at window edit prescriptions licensing by the patient if adjusted Booking from therapist account If you want to book licenses from therapist account or account of clinic ambulance practice you have to 1 choose as therapist with internet support at window User mode 2 setup a therapist which is registered at internet 3 buy licenses for this therapist At training by prescriptions you can choose for ever one prescription from which 2011 HASOMED GmbH 10 7 System adjustments account the license is to be booked from version 6 Request an offer You will see a form with which you can contact RehaCom sales Complete the form and send it by fax or e mail Server licenses In the window Lice
75. res of client 11 procedures overview 14 2011 HASOMED GmbH process data 14 49 proof of treatment 29 protocol print 71 protokol error analysis 79 R reactivate patient 21 read card 24 red button on the panel 3 rehabilitation 16 rehabilitation aim 16 rehabilitation strategies 16 RehaComcode 24 RehaCom panel OK button 3 RehaCom principles 14 RehaCom resellers 74 RehaCom System 14 relation patient computer 15 relationship client computer 14 Reliabilit t 55 renewed treatment 24 repetitions 40 report 24 29 resellers 74 resources 16 restore 77 S save data 77 save database 77 Screening 52 55 second database 62 selectaclient 11 select a procedure training unit 11 server name 62 server RehaCom 58 service 79 session number 49 show allprocedures 58 smartcard 24 44 sound blaster 78 source directory 67 specialmanual 16 start of session 49 start service 57 start training 3 start with instruction 3 37 start without instruction 3 37 starting picture 3 startlevel 40 station 20 Statusdiagnostik 55 strategies 1 System 1 system adjustments 11 system language 58 system parameter 57 system RehaCom 14 T TCP IP 62 Test Intervalle 55 theoretical part 1 Therapieerfolg 55 therapist 20 70 therapist data 18 therapist menu 3 32 36 37 therapy data 70 therapy element 15 time license 74 timetable 40 total effective time 49 trace protokol 79 training 44 training
76. rnet If the patient is registered at Internet All prescriptions are automatically transferred to the webserver if the window is closed 2011 HASOMED GmbH RehaCom Basic manual Work with prescriptions The patient will work with prescriptions at patients mode 7 7 Patient mode The patient mode will be switched on by use of menu System gt Patient mode If RehaCom is at patient mode the patient has only a limited access to RehaCom functionality The patient mode is made in order to give the patient an easy way to work with prescriptions He don t have to learn the complex handling of RehaCom In addition the patients mode serves the data security since in this mode therapy data of other clients are not observable 2011 HASOMED GmbH Training e As long as RehaCom is in the patients mode RehaCom starts with the following starting screen n RehaCom Patient login x Start screen patient mode If you want to use RehaCom as therapist you must press the combination of keys Ctrl t at start screen in order to return to the normal RehaCom mode Additional options for patients mode you can adjust at window System Network directory Like that it is possible to block all Windows functions in the patients mode the client is fully partitioned of the operating system and to load RehaCom automated with the start of the Windows operating
77. rom version 5 00 used Firebird database don t supports this procedure anymore Firebird is a client server database which needs a database server program This server program has to be installed at the computer where the RehaCom data should be stored You have to install the server program from RehaCom CD at the central computer Start the program RSetup exe from CD only needed if you have deactivated autostart than use the button Database RehaCom don t have to be installed at the central database server But if you 2011 HASOMED GmbH System adjustments want if the computer has a good performance you can use one PC as RehaCom workstation and central database server All other users at network have to be connected to the server by TCP IP network protocol If you have installed a firewall you have to open port 3050 to enable firebird database to communicate At the window network directory on all clients you have to setup the name and directory of database server Please use the format Servername directory Servername and directory are divided by colon Servername is the name of the database server as UNC name or as IP address If you work with a local database you can leave out servername and colon Directory is the name of local directory at the server directoryname from the point of view of the server where the database files are stored This directory don t have to be visible or be released for
78. rtments in clinics and health care centres can register for training from version 6 2011 HASOMED GmbH Training To return from patient mode to the RehaCom main window the key combination Ctrl T is used A password can be set which additionally secures the return from patient mode This password is set in the window System gt Network Directories Analysis of process data Process data The analysis of process data is an important instrument for the therapist for finding the best possible training strategies There are several possibilities for a performance data analysis e during the training via the therapist menu see chapter Crash course RehaCom after interrupting the training which should only be done in exceptional cases e at the end of the training when the client s graph of performance shows up automatically The final talk of therapist and client is based on it any time later with the big button Results in the main window given the client is selected see Select a client If you use the big button Results the window Select training results appears provided that there are results of several training modules Window Select training results Fehler Ver 6 Chose a module with a double click or mark it and press Select An analysis graphic opens up consisting of 2 files e Graph of performance for the client and e Results for the therapist The file Graph of performance for the client in t
79. ry carefully a font with best possible detectability was selected The font Arial Standard was chosen This option should not be changed even though it is possible 2011 HASOMED GmbH System adjustments 10 10 Start Service RehaCom was tested in a representative number of computers using different graphic and sound cards Still it cannot be excluded that in certain modules allegedly compatible problems might occur A detailed error analysis by the RehaCom Service can help The service needs to pick out exactly the place where an error occurs For that a small program is started listing certain actions This listing is started in the window System parameter with the button Start service The window RehaCom trace appears and in this window the protocol is written down Leave the window open and go to the place in the program where the error occurred Try to do the same mistake again The trace window still open in the background receives and writes down everything After the error has occurred again print the protocol in arrangement with the service File Print message list or save it on a disk File Save message list This message is later given to the service for analysis To close the window RehaCom trace go to File End 2011 HASOMED GmbH ER RehaCom Basic manual Index ei 10 minutes clock 74 A adaptation 14 adaptation to difficulty 15 adaptive behaviour 15 address 24 adjust volume 78
80. s chosen double click the therapist can see the results After the end of the training the patient can leave a message for the therapist see patients mode These messages are shown at the bottom left field Create and edit prescriptions If you click on an empty range of timetable a new prescription is created The 2011 HASOMED GmbH e RehaCom Basic manual window new prescription appears If you click on an existing prescription the edit window appears g Instruction before the training Instruction after the Training Attention and Concentration e Parameter Days of week from to 14 03 2011 jv 14 03 2011 V Mon Tue Wed Thu 7 Fri E Sat Startlevel Long instructions automated automated with e without Repetition permits ask for patients feedback OK x Cancel 2 Help Window edit prescriptions At this window prescriptions are adjusted Training Which training should be done Parameter Adjusting therapy procedure in detail see training parameters If you don t use the button the patient keeps last adjustments Days of week You can define the same prescription for a time range Startlevel 2011 HASOMED GmbH Training e automated This value supports adaptive Training The client starts training at the same level where he stops last time choose The therapist defines at which level of difficulty the trai
81. se All RehaCom procedures can be used After every training the internal global license counter counts down until no licenses are left However RehaCom will warn the therapist before it runs out of licenses from version 5 00 With one global license RehaCom training can be used for one hour The invoice of the licenses is carried out in 10 minutes clock From technical reasons are opened 10 minutes counted as full 10 minutes The clock starts if you press the Start button at main window and stops if the programs returns to the main window on close of the theapists menu To get an overview of used licenses you can press the button Consumption The start knob in the RehaCom main window start of the training gets end s technical reasons as counted whole 10 minutes respectively opened 10 minutes push the time measurement carried out of this up to the left for the therapist menus end for the training battery gets an overview of the licenses used up the user about the button consumption 2011 HASOMED GmbH System adjustments Both strategies can be combined if an unlimited procedure is used the global counter will not change It will only count the limited procedures When pressing License in the window System parameter or in the menu list System License the window License opens up The following RehaCom module are licensed for your system Your panel or dongle number 24885 Name proc Is timelic
82. ssekonpnien dote indu ae ovK eR EEE Yo REDE ee ana 36 4 Therapist Menu e E 37 5 MOdQUIES Eee 39 6 Prescriptlons eee 40 2011 HASOMED GmbH N RehaCom Basic manual T ET TE 44 Teil VIII Analysis of process data 49 T Process data siscccscsisccscscocssescsisccncccovsdessiesccascsondudsssacsnaccevuvensssasodcccevusnasbiesdesccessssessiesss 49 2 Results screening sssssscscccsescscscssscsescooscscscsnscsoscsccscsescsessanscsescasscsossaessaccsenscseeseesseeess 52 Teil IX Screening and diagnostics 55 Teil X System adjustments 57 1 System parameter sccessssesssssesscsesecssssssssssssnscssssssssssssscsesssssnessssssnsnssessnsssssssnsnesenee 57 2 Network Directory e s eeseessseesseessoessooessoeesooesocecsoecsooessoecscocscoecsoeesooeesoeesoeesseecsoeessee 58 Network installation e 62 Database check S ERE M 66 Database COPY RR 67 3 User MOCO imee 70 4 Panel Dongle NUTS 71 5 License MO GE sessecscccesecccedesescisccssdecocesacccecessscdecesesscacassdecocesedscacessdeuecesessdecessdececesassuscess 73 6 LICENSES ATE E 74 T Backup Restore essen een 77 8 Volume Rehacom iascscvssssssescesccsccsssscccsvscccesnssssessssesecaboondscosseoccdeassucscosseacesaestndssesscsescas 78 9 Clie
83. ted that the copied data are incomplete After a successful database copy the release R RehaComDB is no longer necessary the release can deleted from the server The copy of database has to be performed at only one computer client All other RehaCom workstations only have to adjust the correct destination directory by pressing the button Ei the button Start copy don t has to be pressed 2011 HASOMED GmbH RehaCom Basic manual 10 3 User mode from version 5 4 You reach the window User mode by menu System Which mode do you prefer for using RehaCom H Window User mode As therapist no external clients Vuse therapist s data You work as a therapist in a hospital or in a practice Clients receive local support exclusively As therapist with external clients Home training is an additional way to care for clients The data transfer is done by a data storage medium or overthe intemet As client without supervision You are either a patient or an affected one Therefore you use home training You work with RehaCom without supervision gt As client with supervision You are a patient A therapist cares for you and determines which therapy modules are suitable for you N Close 2 Help as therapist In this mode works the therapist He can edit all therapy data The therapist has the possibility to edit prescriptions and analyzes after training results no external cl
84. tery Parameter In order to adjust training parameters press the button Each module s parameter windows now opens up The training parameters are now adapted to the special requirements of the Battery Memory 1 e g the length of session is generated as 15 min for all modules In order to modify an existing battery go to the window Modules mark the desired battery via mouseclick or with the cursor and push Edit Go on as described above Only newly created training units can be modified whereas the RehaCom standard modules marked 8 cannot be modified With the button Delete in the window Modules a training unit can be removed RehaCom standard procedures cannot be removed 6 Training parameters 6 1 Parameters RehaCom procedures generally work adaptively i e the difficulty of the training automatically adapts to the client s performance Over or undertaxation is avoided and the client is optimally motivated for the training with RehaCom 2011 HASOMED GmbH Training parameters 33 From 1990 on RehaCom has been used in rehabilitation clinics and institutes Since many experiences were collected and a range of studies carried out Resulting from these investigations parameter standard settings for each single procedure were worked out which can be used for the general client Still it might be necessary to adjust RehaCom even further to a client or a group of clients For further adaptation the Training param
85. the training parameters can be modified and the training commences via Continue or Start with or without instruction When training with several procedures a battery after every procedure the training is interrupted and the client s graph of performance is displayed followed by the therapist menu The next procedure is restarted by the therapist So if the button Modules Non Stop is switched off the therapist can check and interfere constantly as it might be necessary during the first sessions If the button is switched on m the training commences immediately After finishing one training the graph of performance is NOT displayed In a training unit consisting of several modules the training continues with the next module The client works through Once all the modules of the training unit are finished the graphs of performance are called up singly by the therapist and discussed together This option is recommended if a client can work with RehaCom individually Therapist menu In order to interrupt the training there are 2 possibilities The client presses the red button on the panel He can have a break then continue training or call up further instructions about the training task e The therapist presses Esc Escape on the PC keyboard Doing that all the process data of the started task are lost The therapist menu will open up 2011 HASOMED GmbH 3 RehaCom Basic manual Thera
86. the user clients To test if the Firebird server is running or if you ve given the correct directory you can check by the button database check at window network directory Prescriptions Internet second database At window network directory a second database can by adjusted This option can be used if RehaCom is used at a clinic network but one RehaCom workstation is disconnected from network from time to time In most time the RehaCom work station is connected with the hospital network The RehaCom database lies central on a server of the hospital Example database directory first database ClinicServer C RehaComDB Sometimes it is necessary to separate the RehaCom workstation from the net This is e g necessary if a mobile workstation is to be transported directly to the bed of the patient and at this place no network entrance is present In this case it is meaningful to put on a second database To do this activate the option second database and edit the directory name of second database The second database has to be located at a local data drive at the computer 2011 HASOMED GmbH 9 RehaCom Basic manual Example database directory second database C RehaComDB On end of RehaCom now the second database is synchronized to the data of first database automatically At start RehaCom searches for first database If first database is found RehaCom uses this network database If n
87. training Volume Check volume RehaCom Sound Fehler Ver 6 Patients mode the RehaCom system is switched to patients mode Aside from operating RehaCom with the big buttons or the menu list the main window informs about the current client and the client s current procedure After pressing at the right edge of the field current client however a list of all clients entered in the data base shows up This gives another possibility of selecting a client A third possibility to find a client is to insert the first letter of the patient s surname with the PC keyboard and the list will jump to the first client whose name starts with that letter In the same way the current procedure can be adapted from version 5 00 In the middle of the main window current procedure are all usable training procedures listed Procedures are sorted by disturbances After double click on name of disturbance all procedures are listed in a tree structure which can be used to treat a special damage The first entry procedures of client lists all procedures which are used by the 2011 HASOMED GmbH Introduction 13 client so far The last entry modified procedures batteries lists all procedures which are created by the therapist At the list of procedures are several text colors are used If you see a procedure name at lightgray font is this training procedure not installed If you see a procedure name at darkgray font is this training proce
88. ts with the Z values there is for almost every test a detailed analysis available This can be reached via Details Contents of the detailed analysis are described in the manuals of each test 9 Screening and diagnostics new from ver 6 2 Screening and diagnostics The term diagnosis is derived from the Greek word diagnosis translated as decisions but it is also used in the sense of distinction Both terms have a relatively wide and similar meaning Sometimes they are used synonymous With diagnostics a more comprehensive process is connected than with screening In Germany neuropsychological diagnostics is reserved for clinical neuropsychologists The neuropsychological test method recommended by the guidelines of the German society of neuropsychologists is for example the Test for Attentional Performance TAP of Fimm amp Zimmermann to obtain from company PSYTEST psychological test systems Kaiserstr 100 D 52134 Herzogenrath In the medical sense the diagnosis is primarily used to recognize and name diseases In addition it serves decisions for the preventive or rehabilitative action to take While screening the comprehensive assessment and evaluation of the person or situation actual analysis is more important than the definition of the disease The screening is used as a rough estimate If the results are striking a diagnostic examination by the neuropsychologist psychologist is absolutely necessary
89. x to Firebird had several reasons Firebird supports higher security and encoding of your data Firebird has a higher operation speed Firebird has a better network support than Paradox Paradox is an old technology and will not be further supported by future Windows versions You can find a detailed documentation of Firebird at internet link http www firebirdsql org On an update from an old RehaCom version to version 5 00 the old Paradox database is automated updated to a Firebird database all data will remain In order to perform conversation the program CopyDB exe will start automatically at the first RehaCom startup More information on database copy you can find at corresponding chapter At the window Firebird database test you can check if Firebird works correct 2011 HASOMED GmbH 10 2 3 System adjustments and if RehaCom database exists In case of doubt you can create a new empty RehaCom database local database This area is checked if you use RehaCom as a single user system single place without a network The database is located at the same PC where RehaCom runs You can check the database by pressing the button Test at the window Messages all results of the check are listed If the database works proper the last line displays the message Database OKI database at network This range is checked if the database is located at an central database server Servername The name of the server how it
90. y which procedure he want to do After choosing a procedure he clicks Start training If instructions before the training are defined these instructions are shown 2011 HASOMED GmbH Training The client works with the training If the duration of training adjusted at parameter menu is over the client gets a message and the training will be ended If instructions are defined after the training these instructions are shown 2011 HASOMED GmbH ER RehaCom Basic manual After end of the training the patient will have the possibility to send a message to the therapist Message to the therapi You can enter a message for your therapist here Yes it was good continue gt Message for therapist After that the client returns to the window Therapy prescriptions The done training is marked gray Now the client can choose the next procedure If all prescriptions are done he receives an appropriate message Now the patient can log off by use of the button Close The system returns to start login screen Is supervision configured for the client the stored training results and messages are exported for the therapist At Internet supervision the system makes an automated upload to the RehaCom webserver At supervision by file export all data are stored to the data drive e g USB Stick automatically By returning to the start screen the next client at therapy depa

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